Posted by: faithful | November 1, 2014

nea-bpd conference videos from 2005 through 2013

Past Yale NEA-BPD Conferences

2013

Borderline Personality Disorder and Managing Related Cognitive Challenges

  1. Reading and writing deficits are common barriers–Staff communication sheets an diary cards.  –Read forms to the cient.  –Written therapy agreement.  –Move slowly don’t rush informed consent process
  2. All DBT strategies and structure standard:  Stages, hierarchy of targets, validation, contingencies, commitment, etc. –Increased use of orientation
  3. Memory deficits/Difficulty in sequencing  –Behavior analysis: slower process, use of visuals  –Longer time frames–Accessible skills curriculum (Skills system)
  4. Challenges related to generalizing skills (transitions and novelty can elicit dysregulation/avoiding)  –Quick Step Assessment simplification, task analysis, and shaping is necessary with DBT strategies  –Behavioral treatment planning (avoid micro-managing)  –Staff as skills coaches (challenging)
  5. Developmental issues/tensions:            — Polarized behavior with staff team (drive for autonomy)
    –DBT creates an egalitarian playing-field that fosters identity development/self-determination
    –Behavioral treatment planning (reciprocal communication/collaboration vs compliance/controlling
  6. Integration of therapy/environment
    –Training (IDD/MH issues: DBT, skills and skills coaching
    –Consultation to the client, due to developmental issues.

Issues: Cognitive Load Theory–Factors Increasing Cognitive Load (Cognitive Load Theory–Sweller)

Simultaneous Processing of Information
New Information
High Volume of Information
Interactivity of Information
Retrieval of divergent information
Rapid shifts without transition from one topic to another
Strong emotional responses to information
Strong emotional responses to the intervention

Evidence of Dysregulation:

Confusion
Lack of Focus
Resistance
Avoidance
Discomfort
Willfulness

Simplification
Task Analysis
Orienting to all transitions and new topics
Worked examples
Shaping
Validating the person’s experience
Positive reinforcement
Contingency management (letting people know how they are doing)

Emotional
Series of skills (over-learned) to help span the duration/intensity
Ability to be present & effective in the moment (improving self-awareness)
Improved efficacy to manage novel events
Cognition
Designed to facilitate recall and generalization
in complex contexts (implicit)
Structured and flexible (manage humanity)
Builds adaptive schema
Framework increases access to contextual learning
Behavioral
Aids effective transitions through events/system to construct adaptive chains
Map of strategic means to reach goals vs reacting impulsively, reduced avoidance, helps transitions
Developmental
Mobilizes inner wisdom i context
Common language expands relational learning/capacities
Environmental
Tools to actively/effectively manage environment/vehicle for self-determination

  • VIDEO: Panel Discussion; Gabriela Balf, MD, MPH, Julie F. Brown, LICSW, Bessel van der Kolk, MD, Anthony C. Ruocco, PhD, and Annita Sawyer, PhD

2012

Impulsivity, Aggression, and Legal Involvement (Includes links to YouTube videos)

2011

Common and Distinguishing Aspects of Dialectical Behavior Therapy and Mentalization Based Therapy (Video presentations)

2010

Borderline Personality Disorder, Obesity, and Eating Disorders (Includes audio/video presentations)

2009

Borderline Personality Disorder and Problems of Substance Use (Includes audio presentations)

2008

Borderline Personality Disorder, Trauma, and Resiliency (Includes video presentations)

2007

High Risk Adolescents and Their Families, Understanding and Treating Borderline Personality Disorder

2006

Borderline Personality Disorder: Current Research and Treatments Consumer and Family Support Options

2005

Borderline Personality Disorder: Origins, Treatments, and Concerns

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